Individual provider Active NPI

Richard Leo Doucet, LICSW

  • Clinical Social Worker
  • Brattleboro, VT
National Provider Identifier
1285939587
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0067470 Issued in VT
Practice address
36 Park PL Ste 101
Brattleboro, VT 05301-2802
Phone
(802) 246-1221
Fax
(802) 246-1002
NPI assigned
Jan 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0067470 VT Primary

Addresses

Primary practice location

36 Park PL Ste 101
Brattleboro, VT 05301-2802

Mailing address

36 Park PL Ste 101
Brattleboro, VT 05301-2802
Phone (802) 246-1221

Other identifiers 1

IdentifierTypeStateIssuer
1018900MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0067470VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holiday Counseling PLC PastSince Oct 5, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1285939587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PARK PL STE 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012802",
            "telephone_number": "802-246-1221",
            "fax_number": "802-246-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PARK PL STE 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012802",
            "telephone_number": "802-246-1221",
            "fax_number": "802-246-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCET",
        "first_name": "RICHARD",
        "middle_name": "LEO",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0067470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018900",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.